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Last updated: January 7, 2026

Tenofovir + Levonorgestrel Vaginal Ring

  • User: Female
  • Hormonal: Hormonal
  • Delivery type:
    • Vaginal Ring
  • Intended Duration:
    • Short-Acting
  • Development Stage: Phase II
  • Developer(s)/researcher(s): CONRAD
Details
  • API: Levonorgestrel, Tenofovir
  • Target: Progesterone Receptor, Androgen Receptor, RT
  • Mechanism of Action:
    • Anti-Microbial
    • Inhibition of Sperm Motility
    • Inhibition of Sperm Capacitation
    • Ovulation Inhibition
    • Cervical Mucus Changes
    • Endometrial Changes
  • Inactive Materials: Polyurethane
  • Regimen: 1 Insertion/90 Days
  • MPT: Potential MPT
  • Promising Attributes: TFV & LNG are both widely evaluated and used in a number of existing approved products. Vaginal rings are also user controlled, reversable, and minimally invasive.
Product Status

Active/Recent Clinical Research

History

2014: CONRAD publishes formulation/product design information on a dual-purpose HIV prevention + contraception vaginal ring
2018: Phase I Placebo-controlled trial results published, showing an acceptable safety profile and expected biological responses to both TFV and LNG
2019-2022: Vaginal microbiome and mucosal PK analysis conducted
2022: Results from CONRAD 138 study released, introducing additional regime variable (cyclical vs continuous). Qualitative study results on user design feedback released in separate publication. 
2023: Results from randomized, controlled Phase IIb trial in Kenya published, confirming that the novel product was safe, well tolerated, and produced biological indicators of both contraceptive and antiviral efficacy. 

Publications